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NCT03618641

CMP-001 in Combo With Nivolumab in Stage IIIB/C/D Melanoma Patients With Clinically Apparent Lymph Node Disease

Completed Phase 2 Results posted Last updated 14 May 2025
What this trial tests

Phase 2 trial testing CMP-001 in Melanoma in 34 participants. Completed in 31 December 2023.

Timeline
8 August 2018
Primary endpoint
20 August 2020
31 December 2023

Quick facts

Lead sponsorDiwakar Davar
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment34
Start date8 August 2018
Primary completion20 August 2020
Estimated completion31 December 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Diwakar Davar — full company profile →

Who can join

18 and older, any sex, with Melanoma or Lymph Node Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Major Pathologic Response Rate (MPR) Primary · Every 6 weeks from start of study treatment, up to 52 weeks

Distribution of pathologic response in the 30 evaluable patients. Major pathologic response was defined on surgical specimens analyzed by blinded two independent dermatopathologists using immune related pathologic response criteria (irPRC). Residual viable tumor (RVT) (wherein RVT = viable tumor area/total tumor bed area) was calculated depending on the quantity of viable malignant cells on H\&E-stained slides and confirmatory SOX-10-stained representative sections in ambiguous cases; and thresholds defined as follows: complete response (pCR, 0% RVT), major response (pMR, 0%\< RVT ≤10%), parti

GroupValue95% CI
Nivolumab and CMP-001 Combination14
Nivolumab and CMP-001 Combination3
Nivolumab and CMP-001 Combination3
Nivolumab and CMP-001 Combination10
Radiographic Response Rate Secondary · Up to 31 months

Number of patients with Complete response \[CR\], partial response \[PR\], or stable disease \[SD\], per RECIST v1.1 criteria. Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes(whether target or non-target) must have reduction in short axis to \<10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\<10mm short axis);PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters; SD: Neither sufficient shrinkage to quali

GroupValue95% CI
Nivolumab and CMP-001 Combination14
Nivolumab and CMP-001 Combination10
Nivolumab and CMP-001 Combination7
Relapse-Free Survival (RFS) Secondary · Up to 31 months

Length of time from the initiation of treatment that patients survive without recurrence of disease. Per RECIST v1.1, progressive disease is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. For non-target lesions, PD: Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progressio

GroupValue95% CI
Nivolumab and CMP-001 CombinationNA22.0 – NA
6-month Relapse-free Survival Secondary · Up to 6 months

Percentage of patients who did not experience disease relapse, 6-months post start of treatment.

GroupValue95% CI
Nivolumab and CMP-001 Combination8162 – 91
12-month Relapse-free Survival Secondary · Up to 12 months

Percentage of patients who did not experience disease relapse, 12 months post treatment.

GroupValue95% CI
Nivolumab and CMP-001 Combination7455 – 86
24-month Relapse-free Survival Secondary · Up to 24 months

Percentage of patients who did not experience disease relapse, 24-months post start of treatment.

GroupValue95% CI
Nivolumab and CMP-001 Combination6241 – 77
Overall Survival (OS) Secondary · Up to 31 months

The length of time from the start of treatment that patients remain alive.

GroupValue95% CI
Nivolumab and CMP-001 CombinationNANA – NA
6-month Overall Survival (OS) Secondary · Up to 6 months

Percentage of patients that remain alive.

GroupValue95% CI
Nivolumab and CMP-001 Combination100100 – 100
12-month Overall Survival (OS) Secondary · Up to 12 months

Percentage of patients that remain alive.

GroupValue95% CI
Nivolumab and CMP-001 Combination8769 – 95
24-month Overall Survival (OS) Secondary · Up to 24 months

Percentage of patients that remain alive.

GroupValue95% CI
Nivolumab and CMP-001 Combination8363 – 93

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events monitored up to 31 months, All-Cause Mortality monitored up to 31 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nivolumab and CMP-001 Combination
Serious: 8/34 (24%)
Deaths: 9/34

Serious adverse events (16 terms)

ReactionSystemNivolumab and CMP-001 Comb…
Blood and lymphatic system disorders - Other, specifyhypoxemiaBlood and lymphatic system disorders
Restrictive cardiomyopathyCardiac disorders
General disorders and administration site conditions - Other, specifyBrain MetsGeneral disorders
General disorders and administration site conditions - Other, specifyfailure to thriveGeneral disorders
Cytokine release syndromeImmune system disorders
Immune system disorders - Other, specifyMyasthenia GravisImmune system disorders
Wound infectionInfections and infestations
SeromaInjury, poisoning and procedural complications
Cardiac troponin I increasedInvestigations
Investigations - Other, specifyinjection site reactionInvestigations
Back painMusculoskeletal and connective tissue disorders
MyositisMusculoskeletal and connective tissue disorders
DyspneaRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Skin and subcutaneous tissue disorders - Other, specifyCellulitisSkin and subcutaneous tissue disorders
Surgical and medical procedures - Other, specifyCraniotomySurgical and medical procedures
Other adverse events (221 terms — click to expand)

ReactionSystemNivolumab and CMP-001 Comb…
HyponatremiaMetabolism and nutrition disorders
ChillsGeneral disorders
HypertensionVascular disorders
FeverGeneral disorders
FatigueGeneral disorders
HypophosphatemiaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
Injection site reactionGeneral disorders
Investigations - Other, specifyBlood Lactate Dehydrogenase IncreasedInvestigations
Investigations - Other, specifyIncreased LDHInvestigations
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Sinus tachycardiaCardiac disorders
HypoalbuminemiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Neutrophil count decreasedInvestigations
HypokalemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HematuriaRenal and urinary disorders
HyperthyroidismEndocrine disorders
Activated partial thromboplastin time prolongedInvestigations
Platelet count decreasedInvestigations
HypermagnesemiaMetabolism and nutrition disorders
HyperuricemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ProteinuriaRenal and urinary disorders
Sinus bradycardiaCardiac disorders
Edema limbsGeneral disorders
Cytokine release syndromeImmune system disorders
White blood cell decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypothyroidismEndocrine disorders
PainGeneral disorders
Aspartate aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders

Most-reported serious reactions: Blood and lymphatic system disorders - Other, specifyhypoxemia, Restrictive cardiomyopathy, General disorders and administration site conditions - Other, specifyBrain Mets, General disorders and administration site conditions - Other, specifyfailure to thrive, Cytokine release syndrome, Immune system disorders - Other, specifyMyasthenia Gravis, Wound infection, Seroma.

Data from ClinicalTrials.gov NCT03618641 adverse events section.

Sponsor's own description

The purpose this research study is to determine if the combination of nivolumab and CMP-001 improves the likelihood of eradicating (destroying) disease in the lymph node (pathologic response rate).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Myeloid-derived suppressor cells as immunosuppressive regulators and therapeutic targets in cancer.
    Li K, Shi H, Zhang B, Ou X, et al · · 2021 · cited 687× · PMID 34620838 · DOI 10.1038/s41392-021-00670-9
  2. The future of cancer immunotherapy: microenvironment-targeting combinations.
    Murciano-Goroff YR, Warner AB, Wolchok JD. · · 2020 · cited 554× · PMID 32467593 · DOI 10.1038/s41422-020-0337-2
  3. Type I interferon-mediated tumor immunity and its role in immunotherapy.
    Yu R, Zhu B, Chen D. · · 2022 · cited 229× · PMID 35292881 · DOI 10.1007/s00018-022-04219-z
  4. Tumor-Associated Macrophages Regulate PD-1/PD-L1 Immunosuppression.
    Pu Y, Ji Q. · · 2022 · cited 212× · PMID 35592338 · DOI 10.3389/fimmu.2022.874589
  5. Immunotherapy combination approaches: mechanisms, biomarkers and clinical observations.
    Butterfield LH, Najjar YG. · · 2024 · cited 210× · PMID 38057451 · DOI 10.1038/s41577-023-00973-8
  6. Virus-like particle vaccinology, from bench to bedside.
    Mohsen MO, Bachmann MF. · · 2022 · cited 181× · PMID 35962190 · DOI 10.1038/s41423-022-00897-8
  7. Intratumoral Immunotherapy for Early-stage Solid Tumors.
    Hong WX, Haebe S, Lee AS, Westphalen CB, et al · · 2020 · cited 138× · PMID 32071116 · DOI 10.1158/1078-0432.ccr-19-3642
  8. Applications and clinical trial landscape using Toll-like receptor agonists to reduce the toll of cancer.
    Rolfo C, Giovannetti E, Martinez P, McCue S, et al · · 2023 · cited 119× · PMID 36890302 · DOI 10.1038/s41698-023-00364-1

Verify or expand the search:

Other trials of CMP-001

Trials testing the same drug.

Other recruiting trials for Melanoma

Currently open trials in the same condition.

Other Diwakar Davar trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing